8/9/2016

TyphonGroup:EASIEvaluation&SurveyInstrument

Responses About You - Details - "2nd.3rd Semester Clinical Affective Evaluation "
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Evaluation by: Clinical Instructors (FRANCIS, Louise)

Evaluation of: Students (Coffey, Ashley)
Evaluation Period: 6/14/2016
Survey Completed: 6/14/2016 11:27:47 AM CT

Evaluation Period:
1 of 3 - Summer Semester

Communications
Explains medical dosimetry procedures to patient as appropriate to situation (e.g. when participating in procedures in the
treatment room or simulation). - Meets Expectations[10 pts]
Respects patient's rights to privacy and condentiality. - Meets Expectations[10 pts]
Acts and speaks in a respectful manner with staff members. - Meets Expectations[10 pts]
Asks questions in an appropriate manner. - Meets Expectations[10 pts]
Accepts correction and direction in a professional manner. - Meets Expectations[10 pts]
Contributes as a member of the medical dosimetry team. - Meets Expectations[10 pts]
Uses effective verbal communication skills with physician during plan consultation and review. - Meets Expectations[10
pts]
Uses effective written communication skills for chart, plan, and dosimetry note documentation. - Meets Expectations[10
pts]
MEAN: 10.00 (out of possible 10), POINTS: 80, % SCORE: 100.0%

Accuracy
Performs dose calculations accurately. - Meets Expectations[10 pts]
Reads radiation measurement devices accurately and carefully. (eg, TLD, Diodes, Film, Ion Chamber) - Meets
Expectations[10 pts]
Accurately designs plans by computer or manual computation in accordance with prescription. - Meets Expectations[10
pts]
Accurately enters information into chart or R & V system. - Meets Expectations[10 pts]
MEAN: 10.00 (out of possible 10), POINTS: 40, % SCORE: 100.0%

Safety
Takes appropriate precautions in Radiation Safety. - Meets Expectations[10 pts]
Double checks all calculations and treatment plans with dosimetrist/physicist. - Meets Expectations[10 pts]
Performs Quality Assurance per recommended guidelines and reviews with dosimetrist/physicist. - Meets Expectations[10
pts]
Uses time, distance, shielding practices & principles. - Meets Expectations[10 pts]
MEAN: 10.00 (out of possible 10), POINTS: 40, % SCORE: 100.0%

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Dependability
Arrives promptly as scheduled. - Meets Expectations[10 pts]
Schedules breaks, lunches, and other time needs with clinical instructors. - Meets Expectations[10 pts]
Adheres to attendance standards of the program. - Meets Expectations[10 pts]
Uses clinical time wisely. - Meets Expectations[10 pts]
Follows school and hospital policies and procedures. - Meets Expectations[10 pts]
Takes initiative in observing and assisting in dosimetry activities. - Meets Expectations[10 pts]
MEAN: 10.00 (out of possible 10), POINTS: 60, % SCORE: 100.0%

Application of Knowledge
Understands the technique and use of special calculation methods. - Meets Expectations[10 pts]
Is able to enter information into the computer and design treatment plan in accordance with prescription. - Meets
Expectations[10 pts]
Is able to identify anatomy and contour appropriate structures. - Meets Expectations[10 pts]
Utilizes critical thinking/problem solving skills in approaching treatment planning. - Meets Expectations[10 pts]
Understands how clinical oncology information is used in treatment planning (e.g. type, grade, stage of cancer). - Meets
Expectations[10 pts]
Utilizes critical thinking skills when evaluating dose volume histograms. - Meets Expectations[10 pts]
Uses problem solving skills when comparing various treatment plans for a specic treatment case. - Meets
Expectations[10 pts]
Is able to design optimal treatment plans based on calculations, dose volume histograms, prescription, and treatment
implementation. - Meets Expectations[10 pts]
MEAN: 10.00 (out of possible 10), POINTS: 80, % SCORE: 100.0%

General Dosimetry Skills

Performs calculations in a timely manner. - Meets Expectations[10 pts]
Accurately uses dose calculation databooks to perform hand calculations. - Meets Expectations[10 pts]
Is able to dose out (complete) chart per prescription and plan. - Meets Expectations[10 pts]
Exhibits knowledge of anatomy, tissue dose tolerance, denitive tumor dose, and typical eld arrangement. - Meets
Expectations[10 pts]
Is able to independently produce treatment plans as required by competency list for the semester. - Meets
Expectations[10 pts]
Is able to prioritize and organize duties to efciently complete requirements. - Meets Expectations[10 pts]
MEAN: 10.00 (out of possible 10), POINTS: 60, % SCORE: 100.0%

I have reviewed this evaluation with the student.

Yes(Additional Comment: Ashley is progressing very well.)

Please provide acommentto let the student know of anyweakness they can work on, and/oranystrength to commend:
Ashley is doing very well. She shows initiative regarding dosimetry tasks, and seeks additional knowledge when she doesn't
understand something.

Total points for all rating scale questions: 360

Mean percentage score for all rating scale questions: 100.0%
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(Each main question equally weighted)

Responses as of 8/9/2016 3:10:15 PM CT

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